WHO Collaborating Centre for Research and Training in Mental Health, Neurosciences and Substance Abuse, Department of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Curr Opin Psychiatry. 2020 May;33(3):271-277. doi: 10.1097/YCO.0000000000000590.
This review highlights what current research says about how local beliefs and norms can facilitate expansion of mental healthcare to meet the large unmet need for services in Africa.
In contemporary Africa, religious beliefs exert important influences on mental health as well as the way people with mental illnesses are viewed and cared for. Mental healthcare practices based on traditional and other religious beliefs, and offered by complementary and alternative health providers (CAPs), reflect the people's culture and are often preferentially sought by a majority of the population. Despite important differences in the worldviews of CAPs and biomedical mental healthcare practitioners in regard to causal explanations, there are nevertheless overlaps in the approaches of both sectors to the management of mental health conditions. These overlaps may provide a platform for collaboration and facilitate the scaling-up of evidence-based mental health services to underserved African populations, especially those residing in ever-expanding urban centres.
Faith-based mental healthcare is an important but informal component of the mental health system in much of Africa. Collaboration between its practitioners and biomedical practice may help to bridge the large treatment gap for mental health conditions on the continent.
目的综述：本文重点阐述了当前的研究成果，即当地信仰和规范如何促进精神卫生保健的扩展，以满足非洲大量未满足的服务需求。
最近发现：在当代非洲，宗教信仰对精神健康以及人们对精神疾病的看法和护理方式有着重要的影响。以传统和其他宗教信仰为基础的精神卫生保健实践，以及由补充和替代医疗保健提供者（CAP）提供的实践，反映了人们的文化，并且通常受到大多数人口的偏好。尽管 CAP 和生物医学精神卫生保健从业者在因果解释方面的世界观存在重要差异，但这两个部门在精神卫生状况管理方面的方法仍然存在重叠。这些重叠可能为合作提供一个平台，并促进将基于证据的精神卫生服务扩展到非洲服务不足的人群，特别是那些居住在不断扩大的城市中心的人群。
总结：在非洲大部分地区，信仰为基础的精神卫生保健是精神卫生系统的一个重要但非正式的组成部分。其从业者与生物医学实践之间的合作可能有助于弥合非洲大陆精神卫生状况治疗缺口较大的问题。
